Feto-maternal outcome in operative vaginal delivery

Abstract

Objective: To compare the fetomaternal outcome in vacuum assisted vaginal delivery and forceps assisted vaginal delivery. Study design: Quasi-experimental study. Subjects & methodology: This study was conducted at the Department of Obstetrics and Gynaecology, Services Hospital, Lahore during six months (from January 2011 to June 2011), Sixty patients requiring operative vaginal delivery. They were further allocated to either group by using a random number table. Age ranged from 20 to 40 years and Gestational age 37 or more completed weeks. Per abdominal and per vaginal examination was carried out. Results: Mean age of the patients in vacuum extraction group was 28.53±4.86 year and in forceps delivery group was 28.73±5.29. Laceration developed in 13 patients (43.3%) and 22 patients (73.3%) in group-A and B, respectively. Extension of episiotomy took place in 2 patients (6.7%) from group-A and 10 patients (33.3%) from group-B. Vulvovaginal haematoma was found in 1 patient (3.3%) in group-B only. Immediate bladder and urethral injuries developed 1 patient (3.3%) in group-B only. Perineal tears (3rd and 4th degree) were present in patient (3.3%) in group-B only. Failure of instrument happened in 2 patients (6.7%) from group-B. Conclusion: Results of the present study indicate that both modes of instrumental vaginal delivery are safe with respect to maternal morbidity and neonatal trauma.